Proforma for Evaluators

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Proforma for Empanelling Experts as INDIRA GANDHI NATIONAL OPEN UNIVERSITY 1. Name Mr./ Ms. / Dr. ............................................................... Designation...................................................... 2. Official Address ................................................................ ........................................................................ ......... .............................................................. ........................................................................ ..Pin ................................ 3. Residential / Postal Address ................................................................ ............................................................. .......... ........................................................................ ......................................................Pin............... .................. 4. Contact No. with STD code (R) .................................. (O) ................................... (M) .................................. Fax ………………………..……….E- mail ................................................................... .................................... 5. Qualification (Kindly attach the relevant documents) Subject at P.G. Level ............................................................ Area of Specialisation ....................................................Ph.D. Area .............................................................. 6. Teaching Experience a. Under Graduate Level Courses Taught Name of the College / University Department Years of Experience b. Post Graduate Level Courses Taught Name of the College / University Department Years of Experience

Transcript of Proforma for Evaluators

Page 1: Proforma for Evaluators

Proforma for Empanelling Experts as Evaluators

INDIRA GANDHI NATIONAL OPEN UNIVERSITY

1. Name Mr./ Ms. / Dr. ............................................................... Designation......................................................

2. Official Address ................................................................................................................................................. ........................................................................................................................................Pin ................................

3. Residential / Postal Address ............................................................................................................................. ........................................................................................................................................Pin.................................

4. Contact No. with STD code (R) .................................. (O) ................................... (M) ..................................Fax ………………………..……….E-mail .......................................................................................................

5. Qualification (Kindly attach the relevant documents) Subject at P.G. Level ............................................................

Area of Specialisation …....................................................Ph.D. Area ..............................................................

6. Teaching Experience a. Under Graduate Level

Courses Taught Name of the College / University Department

Years ofExperience

b. Post Graduate LevelCourses Taught Name of the College / University

DepartmentYears ofExperience

7. Mention your choice of course(s) for evaluation Program

Course(s)

8. If you have counselled and evaluated TMAs of IGNOU or other ODL students, please mention the relevant programme and course(s) and experience (in years) of evaluating it.

S. No. Programme Course No. of Years

9. Language Efficacy for Evaluation (English, Hindi, any other Regional Language(s). You can give as many number of choices) ..........................................................................................................................................

10. Are you currently enrolled as a student of IGNOU ? Yes No If yes, please specify the Programme(s) ……………………………………………………………………

Date ................................. (Signature)Recommendation of the IGNOU School / Centre

Recommended as …..…..…………… for the course(s) .....................................................................................

Date .................................... (Director / Faculty Signature)